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Survey about flowers, knee caps, employment, peanut butter, acne and charity.

Begin Survey

1. Do your children attend public schools? Yes No

2. Will you plant a vegetable and/or flower garden this year? Yes No

3. Do you have a savings account? Yes No

4. Are you involved in volunteerism? Yes No

5. Have you ever been tested for HIV? Yes No

6. Do you sleep with a pillow at night? Yes No

7. Do you enjoy playing video games? Yes No

8. Will you take any train or subway rides this week? Yes No

9. Do you have an annual check-up or exam with your family doctor? Yes No

10. Have you made your will? Yes No

11. Do you like peanut butter and jelly sandwiches? Yes No

12. Are you satisfied in your current employment? Yes No

13. Will you attend religious services this week? Yes No

14. Have you ever responded to a personals ad? Yes No

15. Do you contribute money to any charitable organizations? Yes No

16. Do you have a sit-down family dinner every night? Yes No

17. Do you own a dictionary and/or thesaurus? Yes No

18. Have you ever taken dance lessons? Yes No

19. Do you ever download music from the Internet? Yes No

20. Have you ever broken any bones? Yes No

21. Would you like a free video or CD-ROM with more information on owning or renting an RV? Yes No

Your Firstname:

Your Emailaddress:

Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - Houdini was the first man to fly a plane solo in Australia. - Chocolate does not cause acne. - Babies are born without knee caps. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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